| Bridgewell, Inc | |
|
35 Market St Lowell MA 01852 | |
| (978) 459-0389 | |
| (978) 459-7642 |
| Full Name | Bridgewell, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 35 Market St, Lowell, Massachusetts |
| Authorized Official Name and Position | Lynn M Lewis (BILLING MANAGER) |
| Authorized Official Contact | 3398832166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgewell, Inc 471 Broadway Lynnfield MA 01940 Ph: (339) 883-2166 | Bridgewell, Inc 35 Market St Lowell MA 01852 Ph: (978) 459-0389 |
| NPI Number | 1033262860 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 6507833985 |
|---|---|
| Medicare Enrollment ID | O20041227000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033262860 | NPI | - | NPPES |
| 1310798 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4463 (Massachusetts) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Karin A Obrien |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710909932 PECOS PAC ID: 3577456516 Enrollment ID: I20040204000592 |
| Provider Name | Carol Slade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043393374 PECOS PAC ID: 0143203141 Enrollment ID: I20040610001117 |
| Provider Name | Ricardo C Dancel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164520631 PECOS PAC ID: 2062463433 Enrollment ID: I20050202000731 |
| Provider Name | Louisa E Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669439337 PECOS PAC ID: 8921051541 Enrollment ID: I20050223000733 |
| Provider Name | Paul M Cuneo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821043530 PECOS PAC ID: 6507894417 Enrollment ID: I20050802000243 |
| Provider Name | Debra A Schrafft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992737555 PECOS PAC ID: 6305875725 Enrollment ID: I20050805000699 |
| Provider Name | Kathleen A Guevara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699873273 PECOS PAC ID: 9638196736 Enrollment ID: I20051027001177 |
| Provider Name | Elizabeth Mccusker-hunt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770597429 PECOS PAC ID: 0840292462 Enrollment ID: I20070212000406 |
| Provider Name | Daniel F Ackroyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104103993 PECOS PAC ID: 7315114634 Enrollment ID: I20120126000696 |
| Provider Name | Stephanie A Timpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598194573 PECOS PAC ID: 9234360280 Enrollment ID: I20140317000462 |
| Provider Name | Caron A Bixby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457783565 PECOS PAC ID: 3678702370 Enrollment ID: I20140605000173 |
| Provider Name | Amal Abdulkadir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396937751 PECOS PAC ID: 3577782168 Enrollment ID: I20140912001715 |
| Provider Name | Jeremy Scott Bookman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427394089 PECOS PAC ID: 9133441942 Enrollment ID: I20141205001512 |
| Provider Name | Rosilyn D Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922433457 PECOS PAC ID: 2668795204 Enrollment ID: I20150106001865 |
| Provider Name | Jaclyn B Devine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932261237 PECOS PAC ID: 4880824168 Enrollment ID: I20150421001989 |
| Provider Name | Margery Walentuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720488778 PECOS PAC ID: 5092024612 Enrollment ID: I20151022001110 |
| Provider Name | Diane M Ladd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811367683 PECOS PAC ID: 7719289198 Enrollment ID: I20151230002394 |
| Provider Name | Emily Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700295672 PECOS PAC ID: 7618270554 Enrollment ID: I20160126002544 |
| Provider Name | John J Mccord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104951706 PECOS PAC ID: 0042518060 Enrollment ID: I20160407001097 |
| Provider Name | Meredith L Prescott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477897437 PECOS PAC ID: 1355639113 Enrollment ID: I20161011000451 |
| Provider Name | Erin A Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063961969 PECOS PAC ID: 9830470962 Enrollment ID: I20170104002037 |
| Provider Name | Julie A Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962959411 PECOS PAC ID: 3779865639 Enrollment ID: I20170130000957 |
| Provider Name | Melbourne Richard Moran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871997379 PECOS PAC ID: 5698044618 Enrollment ID: I20170707000902 |
| Provider Name | Kedar G Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144747445 PECOS PAC ID: 4587936794 Enrollment ID: I20170823002498 |
| Provider Name | Kimberly Keating |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780062992 PECOS PAC ID: 1759653660 Enrollment ID: I20170826000429 |
| Provider Name | Cassandra M Godzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013370436 PECOS PAC ID: 5496028748 Enrollment ID: I20170907002583 |
| Provider Name | Jennifer L Burzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407230493 PECOS PAC ID: 7315255452 Enrollment ID: I20171002000434 |
| Provider Name | Marinete S Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093241010 PECOS PAC ID: 2961769674 Enrollment ID: I20171206000297 |
| Provider Name | Maryelien G Zampell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578727673 PECOS PAC ID: 9739441965 Enrollment ID: I20180327002641 |
| Provider Name | Anna Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704669 PECOS PAC ID: 1456604545 Enrollment ID: I20181018001918 |
| Provider Name | Michelle Vivoamore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173866 PECOS PAC ID: 7416200589 Enrollment ID: I20181019001851 |
| Provider Name | Priscilla A Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417455759 PECOS PAC ID: 9335492412 Enrollment ID: I20181019002308 |
| Provider Name | Ann F Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184171035 PECOS PAC ID: 8325388465 Enrollment ID: I20190327001722 |
| Provider Name | Elycia M Pittsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588915334 PECOS PAC ID: 1658613765 Enrollment ID: I20190419000617 |
| Provider Name | Gina Pitocchelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886426 PECOS PAC ID: 3173753886 Enrollment ID: I20200827003717 |
| Provider Name | Jessica Nicole Bookman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518122266 PECOS PAC ID: 8022186311 Enrollment ID: I20210209001069 |
| Provider Name | Patricia M Manjong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316567563 PECOS PAC ID: 9436552809 Enrollment ID: I20210722000940 |
| Provider Name | Debra Louise Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043846942 PECOS PAC ID: 1658769344 Enrollment ID: I20211029000831 |
| Provider Name | Chidinma Jennifer Onyegwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205271418 PECOS PAC ID: 5193032514 Enrollment ID: I20220316000476 |
| Provider Name | George Towsend Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730841941 PECOS PAC ID: 2466848395 Enrollment ID: I20220401001254 |
| Provider Name | Annamaria Graffeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336867068 PECOS PAC ID: 4284002718 Enrollment ID: I20221115000561 |
| Provider Name | Jade Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447771787 PECOS PAC ID: 4880965912 Enrollment ID: I20231012002065 |
| Provider Name | Lindsey Monahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962759407 PECOS PAC ID: 6901252535 Enrollment ID: I20231102000246 |
| Provider Name | Audrey Marie Bianco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063880060 PECOS PAC ID: 6305296393 Enrollment ID: I20240103003177 |
| Provider Name | Matthew L Prahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598890956 PECOS PAC ID: 4981055191 Enrollment ID: I20240111002081 |
| Provider Name | Timothy Paul Gau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790072528 PECOS PAC ID: 1052763851 Enrollment ID: I20240117002753 |
| Provider Name | Marcello Cugno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659736817 PECOS PAC ID: 8123471364 Enrollment ID: I20240124002322 |
| Provider Name | Emily Ruth Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780719070 PECOS PAC ID: 0143663716 Enrollment ID: I20240211000042 |
| Provider Name | Amanda Crownover Beneker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437716925 PECOS PAC ID: 5799129508 Enrollment ID: I20240220004359 |
| Provider Name | Tracy Elizabeth Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235382441 PECOS PAC ID: 7214371889 Enrollment ID: I20240222001227 |
| Provider Name | Michelle Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326414392 PECOS PAC ID: 1153768999 Enrollment ID: I20240328001251 |
| Provider Name | Dawn Marie Cammarata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043658024 PECOS PAC ID: 1850731282 Enrollment ID: I20240501003390 |
| Provider Name | Katherine Elinor Schrader |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497925887 PECOS PAC ID: 5193167310 Enrollment ID: I20240520002517 |
Cervitude Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Central St Ste 403b, Lowell, MA 01852 Phone: 617-996-8119 Fax: 617-925-6367 | |
Hkd Treatment Options Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 George St, First Floor, Lowell, MA 01852 Phone: 978-710-9877 Fax: 888-972-2483 | |
Community Resource Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 256 Westford St, Lowell, MA 01851 Phone: 978-455-4254 | |
New Beginnings Counseling Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Merrimack St, Suite 202, Lowell, MA 01852 Phone: 978-677-6822 Fax: 978-455-5054 | |
Choate Health Management Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Varnum Ave, Lowell, MA 01854 Phone: 978-322-5120 | |
Insight Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Central St Ste 102, Lowell, MA 01852 Phone: 978-598-3802 |